Miss Miya G Abbott, LICENSED CLINICAL SO
Social Worker, Clinical in Portland, Oregon
1053595785- Practice location
- 2304 E. Bumside St., Suite 201, Portland, OR 97214
- Phone
- 503-951-0328
- Fax
- —
- Last updated
- October 23, 2023
Miss Miya G Abbott, LICENSED CLINICAL SO is a Social Worker, Clinical based in Portland, OR. Miss Miya G Abbott, LICENSED CLINICAL SO holds the professional credentials of LICENSED CLINICAL SO. The NPI number for Miss Miya G Abbott, LICENSED CLINICAL SO is 1053595785 and holds license No. L4914 (OR). The current practice location address is 2304 E. Bumside St., Suite 201, Portland, OR 97214 and the office can be reached by phone at 503-951-0328. The NPI was assigned on December 17, 2007 and the record was last updated in NPPES on October 23, 2023.
●Provider Profile Details
- NPI Number
- 1053595785
- Provider Name
- Miya Gray Abbott
- Credential
- LICENSED CLINICAL SO
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Enumeration Date
- December 17, 2007
- Last Update Date
- October 23, 2023
- Certification Date
- January 21, 2021
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2304 E. Bumside St.
Suite 201
Portland, OR 97214 - City
- Portland
- State
- Oregon
- ZIP
- 97214
- Country
- US
- Phone Number
- 503-951-0328
✉Business Mailing Address
- Address
- 2304 E Burnside St Ste 201
Portland, OR 97214-1689 - City
- Portland
- State
- OR
- ZIP
- 97214-1689
- Phone Number
- 503-951-0328
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Social Worker, Clinical | 1041C0700X | No | — | — |
| Social Worker, Clinical | 1041C0700X | Yes | L4914 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Miss Miya G Abbott, LICENSED CLINICAL SO?
The NPI number of Miss Miya G Abbott, LICENSED CLINICAL SO is 1053595785. It was assigned on December 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Miss Miya G Abbott, LICENSED CLINICAL SO?
Miss Miya G Abbott, LICENSED CLINICAL SO is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. L4914 (OR).
Where does Miss Miya G Abbott, LICENSED CLINICAL SO practice?
The practice location is 2304 E. Bumside St., Suite 201, Portland, OR 97214. The office can be reached at 503-951-0328 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053595785 directly on the NPPES registry website at npiregistry.cms.hhs.gov.